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    Standard Form For Assam Government PDF

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    Rim 98541
    This document contains a standard application form for a government position in Assam, India. The form requests information such as the applicant's name, address, citizenship status, educational background, age, previous employment history, and other personal details. It informs the applicant that providing false information could result in penalties and that a treasury challan receipt must be attached with the application.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Standard Form For Assam Government PDF

    Uploaded by

    Rim 98541
    233 views1 page
    This document contains a standard application form for a government position in Assam, India. The form requests information such as the applicant's name, address, citizenship status, educational background, age, previous employment history, and other personal details. It informs the applicant that providing false information could result in penalties and that a treasury challan receipt must be attached with the application.

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    Standard-Form-for-Assam-Government.pdf

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    This document contains a standard application form for a government position in Assam, India. The form requests information such as the applicant's name, address, citizenship status, educational background, age, previous employment history, and other personal details. It informs the applicant that providing false information could result in penalties and that a treasury challan receipt must be attached with the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    233 views1 page

    Standard Form For Assam Government PDF

    Uploaded by

    Rim 98541
    This document contains a standard application form for a government position in Assam, India. The form requests information such as the applicant's name, address, citizenship status, educational background, age, previous employment history, and other personal details. It informs the applicant that providing false information could result in penalties and that a treasury challan receipt must be attached with the application.

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    © All Rights Reserved
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    of 1

    ASSAM GAZETTE (PART -IX)

    STANDARD FORM OF APPLICATION


    To, PHOTO
    The ………………………………………………………………………………………………………………………
    Name of the Post ………………………………………………………………………………………………..
    Department/Office ……………………………………………………………………………………………..

    1. Name in Full (Block letter) : …………………………………………………………..………………………………..


    2. Present Address : ……………………………………………Vill/Town………………………………..
    …………………………………………………………………………………………….
    3. Permanent Address : …………………………………………… Vill/Town……………………………….
    ……………………………………………………………………………………………..
    4. Father’s Name & Address : …………………………………………………………………………………………….
    5. Place of birth including Police Station and : …………………………………………………………………………………………….
    District & P.O …………………………………………………………………………………………….
    6. Are you a citizen of india and if so how? (Copy of citizenship certificate should be enclosed
    where necessary ) : …………………………………………………………………………………………….
    7. Educational qualification and also the : …………………………………………………………………………………………….
    name and full address …………………………………………………………………………………………….
    8. Other Qualifications : …………………………………………………………………………………………….
    9. Community : …………………………………………………………………………………………….
    (a) State your religion : ……………………………………………………………………………………………
    (b) Are you a member of Schedule : ……………………………………………………………………………………………
    Caste/Schedule Tribe
    (Answer ‘Yes’ or ‘No’) If ‘Yes’ give particulars supported by a certificate copy of which should be enclosed.
    10. Age on the 1st January 20…. (According to H.S.L.C certificate copy of which should be enclosed)
    : …………………………………………………………………………………………..
    11. Present occupation (if any) : …………………………………………………………………………………………..
    12. Previous appointment held (if any) : …………………………………………………………………………………………..
    13. Are you a temporary or retrenched personal of Temporary Departmental of the Govt. of Assam
    (Answer ‘Yes’ or ‘No’) State particulars : …………………………………………………………………………………………..
    14. Are you trained in or a member of the National Cade Crops of Territorial Army or trained Home Guards and
    Civil Defence Volunteers, if so give particulars.
    : ………………………………………………………………………………………….
    15. Employment Registration No. : ………………………………………………………………………………………….
    16. Whether there is any Govt./Semi Govt. Employees in your family if any, Particulars of such family member like
    relationship, name of the job, pay drawn, place of posting, permanent /Temporary etc. should be furnished.
    : …………………………………………………………………………………………
    ………………………………………………………………………………………….
    17. Family’s income certificate from the : ………………………………………………………………………………………….
    Gaon Panchayat /DC/SDO/Circle Officer to be furnished
    18. Examination Centre : ………………………………………………………………………………………….

    I am a candidate for the post ……………………………………………….. and the stated above are true to the best of my
    knowledge and behalf. In case of any false statement, I am liable to any action the Government deem fit and
    proper.
    A treasury challan of Rs ……………………… is attached herewith.

    19. To be filled in by Candidate


    Date: …………………………………
    Place: ……………………………….. Signature of Candidate

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